Journal of Healthcare Management最新文献

{"title":"Diversity Signaling in Healthcare: Workforce and Health Equity Implications.","authors":"Samuel O Boadu, Cathleen O Erwin, Geoffrey A Silvera","doi":"10.1097/JHM-D-24-00144","DOIUrl":"10.1097/JHM-D-24-00144","url":null,"abstract":"<p><strong>Goal: </strong>Diversity, equity, and inclusion (DEI) policies have become central to corporate practices, particularly in the healthcare sector. This study employs signaling theory to explore how healthcare organizations communicate their commitment to DEI through their websites to external stakeholders. Signaling theory posits that organizations use signals to communicate information to stakeholders, and in healthcare, this information is important to prospective employees and patients. As a primary communication channel, the corporate website serves as a vital tool for conveying the organization's values, including DEI commitments.</p><p><strong>Methods: </strong>This study analyzed a representative sample of 78 US hospitals and healthcare organizations, examining their websites for signals related to DEI. The signaling theory framework helped to evaluate the extent of signaling while considering variables such as gender and ethnic diversity in leadership; explicit diversity language in mission, vision, and values; and the presence of diversity statements. A composite measure scale quantified the magnitude of diversity signaling.</p><p><strong>Principal findings: </strong>Our quantitative analysis found that while 89.74% of organizations exhibited observable C-suite diversity (i.e., gender or ethnicity), explicit diversity language in core statements was less common (10.26%). Most organizations (67.95%) lacked explicit diversity language in strategic statements, with value statements being the primary location for such language in organizations with diversity language. The composite score revealed a varied commitment to diversity signaling. Most organizations scored low (48.72%, with a score of 1 out 6).</p><p><strong>Practical applications: </strong>The potential implications of the absence of signals suggest a possible unintended projection of a lack of commitment to DEI. This study's findings emphasize the impact on potential employees and patients, as the absence of diversity signals may dissuade those seeking inclusive environments. This examination of C-suite diversity also underscores the role of diversity in shaping organizational culture and its potential influence on health equity efforts. Organizations that actively communicate their commitment to DEI through explicit language and diverse leadership are better positioned to attract talent and create inclusive healing environments for staff and patients.</p>","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"71 1","pages":"58-70"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disaster Preparedness Training Relevance for Organizational Response Effectiveness: A Healthcare Executive Perspective.","authors":"Attila J Hertelendy, John G Richmond, Walfried M Lassar, Cheryl L Mitchell, Michael A Mayo, Stacie Vilendrer, Asha Devereaux, Frederick M Burkle, Steve Ullmann","doi":"10.1097/JHM-D-24-00163","DOIUrl":"10.1097/JHM-D-24-00163","url":null,"abstract":"<p><strong>Goal: </strong>Prior to the COVID-19 pandemic, numerous studies had described gaps in hospital preparedness for natural and man-made disasters and public health emergencies. These gaps were especially evident during the COVID-19 pandemic and recent catastrophes, such as hurricanes, earthquakes, wildfires, and cyberattacks, highlighting the lack of organizational preparedness and response. This study aims to understand the training that healthcare executives should receive in order to prepare for future disasters and health emergencies.</p><p><strong>Methods: </strong>We developed a survey based on existing literature and insights from healthcare executives and disaster medicine experts, all of whom had gained expertise while responding to prior disasters. Our exploratory study also targeted individuals with executive positions in hospitals. Respondents had varying levels of executive responsibility, including C-suite positions, operations directors, clinicians, and those in other strategic analytic roles.</p><p><strong>Principal findings: </strong>Our survey found that scenario planning, using either a tabletop exercise or active role-playing-a simulation-based training method in which participants assume specific roles to act out realistic or hypothetical disaster scenarios-was found to be the most relevant type of training, while setting up an emergency operations center was the least relevant. Healthcare executives perceive that they are better prepared for disasters when the training they receive is relevant to them. This signifies that believing in oneself as being prepared leads healthcare executives to perceive that their organizations can implement more comprehensive emergency response activities, and that those activities are deemed to be more effective.</p><p><strong>Practical applications: </strong>Assessing how healthcare executives perceive their personal preparedness for public health emergencies, such as pandemics and natural disasters, is crucial for enhancing leadership and overall organizational effectiveness in future crises. Organizations and leaders need to be proactive to ensure they effectively respond to increasingly unpredictable crises.</p>","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":"18-33"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary Expert Medical Opinions Associated with Treatment Strategy Changes and Substantial Cost Savings for Healthcare Payers.","authors":"Kyle N Kunze, Spencer W Sullivan, Ally Bonnet-Eymard, Corinne Herz, Kirsten Smyth, Benedict U Nwachukwu","doi":"10.1097/JHM-D-24-00256","DOIUrl":"10.1097/JHM-D-24-00256","url":null,"abstract":"<p><strong>Goal: </strong>Consultations via commercial telemedicine platforms have enabled patients to access a larger network of providers whose secondary treatment recommendations may differ from those obtained by primary care providers. Subsequent changes in treatment recommendations may have meaningful implications for cost value and quality of care. However, despite the increased use of telemedicine, the frequency and type of treatment changes that occur are not well understood. This study evaluates the association between digital expert medical opinions (EMOs), treatment strategy changes, and cost implications, using data derived from a specialized musculoskeletal telemedicine platform.</p><p><strong>Methods: </strong>Musculoskeletal EMOs from a large commercial digital health organization were retrospectively reviewed between 2020 and 2024. Treatment metrics, including surgical diversion (i.e., declining a surgical procedure), as well as the frequency of diagnosis and treatment plan changes, were calculated using existing client records and reports. Subsequently, an economic analysis was done to extrapolate potential cost savings based on treatment changes. Projections were constructed using average consultation cost savings based on Current Procedural Terminology (CPT) billing data and annual capture rates for a real-world enterprise client. Projections were also extrapolated to clients of various carrier sizes.</p><p><strong>Principal findings: </strong>Among the 544 musculoskeletal EMOs reviewed, 40.1% of consultations resulted in surgical diversion. More than half (53.0%) of treatment plans changed as a result of obtaining EMOs, while the diagnosis change rate was 22.5%. An average cost savings of $8,146.89 per EMO was estimated based on data from a current enterprise client. Extrapolation of this analysis to a medium-sized carrier (10,000 annual claims) and a large-sized carrier (30,000 annual claims) based on data from this enterprise client was estimated to be $754,558.44 and $2,263,675.33, respectively.</p><p><strong>Practical applications: </strong>Among secondary digital EMOs obtained through a telemedicine platform, more than half of treatment strategies were changed, with surgical diversion observed for 40% of patient cases. Resultant treatment and diagnosis strategy changes may result in increased value for patients, payers, and participating healthcare entities as demonstrated through the economic projections established using real-world data. Further extrapolation of savings based on claim volume, capture rate, and various client sizes may provide additional insights into the utility of telemedicine in other spaces as it pertains to defining appropriate treatment pathways and adjusting optimized costs.</p>","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"71 1","pages":"71-81"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why I Write: Four Practical Guideposts for Today's Healthcare Leaders.","authors":"Eric W Ford","doi":"10.1097/JHM-D-25-00302","DOIUrl":"10.1097/JHM-D-25-00302","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"71 1","pages":"1-6"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Satisfaction with Artificial Intelligence Among Patients and Physicians: A Scoping Review.","authors":"Timothy Hoff, Aliya Kitsakos, Jasmine Silva","doi":"10.1097/JHM-D-24-00121","DOIUrl":"10.1097/JHM-D-24-00121","url":null,"abstract":"<p><strong>Goal: </strong>The role of artificial intelligence (AI) continues to grow in healthcare. It is important to gain a deeper understanding of how patients and care providers perceive its use in patient care and whether they are satisfied with the AI experience. This study performed a scoping review of the published research on patient and physician satisfaction with AI used in healthcare delivery.</p><p><strong>Methods: </strong>The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) approach guided the identification, filtering, and analysis of research published from 2003 to 2023 on patient and care provider satisfaction with AI. A standardized data abstraction form created in Microsoft Excel was used to record relevant information in the 45 articles that were selected for review.</p><p><strong>Principal findings: </strong>Most of the 45 empirical studies included in this study focused on patient satisfaction with AI. Almost half considered AI for treatment exclusively, mostly in hospital or remote settings. Moderate to high degrees of AI satisfaction were identified in 16 of 28 (57%) studies that contained a general AI satisfaction finding of some type. In the other 12 studies, satisfaction levels expressed were lower. Overall, higher satisfaction was seen with AI in diagnostic situations compared to treatment situations. Ninety percent of studies where AI was identified as effective in patient care also found high levels of AI satisfaction.</p><p><strong>Practical applications: </strong>Both physicians and patients appear receptive to the integration of AI into patient care, regardless of the type of AI used. This receptivity may encourage healthcare organizations to support AI in patient care. Healthcare organizations should identify the full range of drivers of patient and physician satisfaction with AI beyond whether the technology or tool improves clinical outcomes. Future research could analyze contextual factors that may impact AI satisfaction; effects related to age, type of patient care setting, and clinical situation; and an expansion of the types of AI examined.</p>","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"70 6","pages":"435-449"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sticky Note Policies: Inadequate Bandages for Organizational Entropy.","authors":"Eric W Ford","doi":"10.1097/JHM-D-25-00259","DOIUrl":"10.1097/JHM-D-25-00259","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"70 6","pages":"385-390"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retail Pharmacy: From Prescriptions to Personalized Care.","authors":"Sashidaran Moodley","doi":"10.1097/JHM-D-25-00237","DOIUrl":"10.1097/JHM-D-25-00237","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"70 6","pages":"396-401"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Measured Quality and Future Financial Performance Among Hospitals Performing Cardiac Surgery.","authors":"","doi":"10.1097/JHM-D-25-00271","DOIUrl":"10.1097/JHM-D-25-00271","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"70 6","pages":"453-454"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Reality Experience to Relieve Stress, Burnout, Fatigue, and Anxiety in Healthcare Professionals: A Systematic Review.","authors":"Saumil Desai, Chandra Rath, Neha Bhandarkar, Gayatri Jape, Shripada Rao","doi":"10.1097/JHM-D-24-00105","DOIUrl":"10.1097/JHM-D-24-00105","url":null,"abstract":"<p><strong>Goal: </strong>Healthcare professionals (HCPs) working long shifts are prone to physical, emotional, and psychological stress leading to harmful effects on their mental health, an issue compounded by the COVID-19 pandemic. Novel efforts such as virtual reality (VR)-based immersion have been explored to mitigate this problem in HCPs. However, the studies vary in their clinical settings, scales used for measuring outcomes related to mental health, sample size, and other relevant parameters. We conducted a systematic review (SR) to collate all available evidence on the feasibility and efficacy of VR-based interventions for reducing stress, burnout, fatigue, and anxiety in HCPs.</p><p><strong>Methods: </strong>We searched major databases for comprehensive literature on HCP mental well-being measures in September 2023 and February 2024. Risk of bias was assessed using the Effective Public Health Practice Project (EPHPP) quality assessment tool, and PRISMA guidelines were used for reporting this SR.</p><p><strong>Principal findings: </strong>A total of 17 studies out of 1,422 citations were included in the final analysis. The number of study participants ranged from 14 to 219 (1,053 total). Seven studies were randomized controlled trials, and the rest were pre-post intervention studies. Meta-analysis was not feasible because the included studies were heterogeneous in their study settings, methodology, and assessed mental health domain. Based on the EPHPP tool, one study had a strong global rating, two had a moderate rating, and 14 had a weak rating.</p><p><strong>Practical applications: </strong>VR-based interventions during break times appear to be feasible and useful in addressing HCP stress, burnout, fatigue, and anxiety. However, limited high-quality studies warrant caution in interpretation.</p>","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"70 6","pages":"416-434"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Christopher E. Johnson, PhD, Director, Institute of Health Administration, Georgia State University, Atlanta, Georgia.","authors":"","doi":"10.1097/JHM-D-25-00241","DOIUrl":"10.1097/JHM-D-25-00241","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"70 6","pages":"391-395"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}